TW200803819A - Surgical system having manifolds with integral pneumatic accumulators - Google Patents
Surgical system having manifolds with integral pneumatic accumulators Download PDFInfo
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- TW200803819A TW200803819A TW096117880A TW96117880A TW200803819A TW 200803819 A TW200803819 A TW 200803819A TW 096117880 A TW096117880 A TW 096117880A TW 96117880 A TW96117880 A TW 96117880A TW 200803819 A TW200803819 A TW 200803819A
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- manifold
- surgical system
- suction
- injection
- primary
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/77—Suction-irrigation systems
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/72—Cassettes forming partially or totally the fluid circuit
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0201—Cassettes therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00736—Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/12—General characteristics of the apparatus with interchangeable cassettes forming partially or totally the fluid circuit
- A61M2205/123—General characteristics of the apparatus with interchangeable cassettes forming partially or totally the fluid circuit with incorporated reservoirs
Landscapes
- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Vascular Medicine (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Pulmonology (AREA)
- Ophthalmology & Optometry (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgery (AREA)
- External Artificial Organs (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Supply Devices, Intensifiers, Converters, And Telemotors (AREA)
- Fluid-Pressure Circuits (AREA)
Abstract
Description
200803819 九、發明說明: 本申請案係於2006年5月19曰申請之美國專利第 11/437,301號申請案之部分延續申請案。</ RTI> </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> <RTIgt; </ RTI> </ RTI> <RTIgt;
【福h明所肩戈二技名疗領域;J 5 本發明是有關於手術系統,特別是指設置有具整體氣 動儲壓器之集合管的手術系統。 【先前技術3 纤夕顯做卞啊心夕娜 .....〜列久/現切除不 10 15 20 同之身體組織。譬如某些眼科手術之步驟需要作位於眼睛 後面部分、透明且呈膠狀之透明液之切割及/或切除 ^透 明液,或稱玻璃體,係由許多經常分佈在視網膜上之微小 纖維所組成,因此,該玻璃體之切割或切除必須非常〗、、 以避免發生視網膜收縮、視網膜與脈絡齡離、:網顯 裂、或最嚴重的將整個視網膜切割或切除之情形。 、 .傳統的玻璃體切除探針通常包含一外切割件、一方 割件同軸地排列且可動地安裝於其内之内切割件、夕切 沿徑向延伸穿越該内切割部靠近其頂端位 U及一 體被吸出至開放之接頭内,而該内 s、°玻璃 •在_封閉時,該_件及:::= 面相配合地切_破璃體,而該被切割下玻_ 峨内切割件而被吸出。該切割行為可能採= =完成,但在更高壓力下操作之氣動驅動探針更常被採 導入眼 此外,在典型之眼科手術程序中,空氣可能被 5 200803819 後房内’而這些空氣必須是低壓空氣(3-4 psi)。在低壓下 將流體注入眼睛後,能為該部分之手術程序多爭取一些時 間’因此為了避免意料外的動力損失,需要蓄積某些儲備 壓力。習知技藝裝置採用儲壓器,、接受器或壓力箱以儲存 該儲備壓力。這類裝置佔據外科手術控制台内部極大的空 間’並且需要與適當的集合管作氣動連結。 因此[Fo H Ming's shoulder two skills name field; J 5 The invention relates to a surgical system, in particular to a surgical system provided with a manifold with an integral pneumatic accumulator. [Previous technology 3 fiber eve show ah ah heart 娜 na ..... ~ column long / now cut off 10 15 20 with the body tissue. For example, the steps of some ophthalmic procedures require the cutting and/or excision of a transparent and gel-like clear liquid in the back of the eye, or a vitreous, consisting of many tiny fibers that are often distributed on the retina. Therefore, the cutting or excision of the vitreous must be very strict, to avoid retinal contraction, retinal and venous age separation,: net fissure, or the most severe cut or excision of the entire retina. The conventional vitrectomy probe usually comprises an outer cutting member, a cutting member coaxially arranged and movably mounted therein, and a cutting member extending radially through the inner cutting portion near the top end U and The whole is sucked out into the open joint, and the inner s, ° glass • when the _ is closed, the _ piece and the ::::= face are cut together _ the glazed body, and the cut 玻 峨 峨 切割And was sucked out. The cutting behavior may be == completed, but pneumatically driven probes operating at higher pressures are more often introduced into the eye. In addition, in a typical ophthalmic surgical procedure, air may be 5 in the posterior chamber of 200803819 and these air must It is low pressure air (3-4 psi). When the fluid is injected into the eye at low pressure, it can take some time for the surgical procedure in this part. Therefore, in order to avoid unexpected power loss, it is necessary to accumulate some reserve pressure. Conventional art devices employ an accumulator, a receptacle or a pressure tank to store the reserve pressure. Such devices occupy a significant amount of space inside the surgical console' and require pneumatic coupling to a suitable manifold. therefore
10 1510 15
對於一個簡化的、小型的構造的外科手術系統 之需求一直存在。 【發明内容】 本發明係對習知技藝加以改良而提供一種具備一常見 之主集合管且其上整體地安裝有所有不,同之氣動控制次系 統或次集合管之外科手術系統。各種所需之控制機構,例 如閥等,也同樣整體地安裝在該f見之主集合管及次♦合 在任-或所有之次集合管或主集合管内與集合^ =非㈣之材料均被裁除’以形成可儲存額外加壓空氣 之儲存器。該儲存哭之體稽 ’、 系統之㈣㈣定集合管或整雜氣動 手術ΓΓ之—目的係在提供—具㈣㈣次系統之外科 V你仕杈供一具安裝在 口⑽货、仕提供一具 營上之整體氣動次系統之外科手術系統。 本發明之再—目的係在提一 之外科手術系統。 、用以控制《手術裝置 月之X目的係在提供1以控制氣動手術裝置 6 200803819 之外科手術系統,而s亥氣動手術裝置具備儲存額外加壓空 氣之整體儲存器。 上述及其他本發明之優點與目標,由下列之詳細說 明、圖式以及中請專利範圍内可清楚地呈現。 5第181為可使用本發明之整體氣動集合管之外科手 術控制台之前透視圖; 第2圖為-可使用在本發明之卡£之前透視圖; 第3圖為-可使用在本發明之卡匣之後透視圖; 第4圖為本發明之該整體氣動集合管之分解透視圖; 1〇 第5®為—閥或钳集合管之透視®,說明該集合管上有 數個主動機械元件;及 第6a圖及第6b圖為可使用在本發明之集合管之透視 圖。There is a constant need for a simplified, small-sized surgical system. SUMMARY OF THE INVENTION The present invention is an improvement over the prior art to provide a surgical system having a conventional primary manifold and having all of the same, as well as a pneumatically controlled secondary or secondary manifold. Various required control mechanisms, such as valves, are also integrally mounted in the main manifold and the secondary or all of the secondary manifolds or primary manifolds and the aggregates. Cut 'to form a reservoir that can store additional pressurized air. The storage of the crying body, the system (four) (four) fixed collection tube or the whole pneumatic pneumatic surgery - the purpose is to provide - (4) (four) subsystems outside the department V you officially for a installation in the mouth (10) goods, Shi provide a The overall pneumatic sub-system surgery system on the camp. A further object of the present invention is to provide a surgical system. To control the surgical device, the X-purpose is to provide a surgical system for controlling the pneumatic surgical device 6 200803819, and the s-helological surgical device has an integral reservoir for storing additional pressurized air. The above and other advantages and objects of the present invention are apparent from the following detailed description, drawings and claims. 5 181 is a front perspective view of an external pneumatic manifold external surgical tube console in which the present invention can be used; FIG. 2 is a perspective view before use of the card of the present invention; FIG. 3 is - can be used in the present invention FIG. 4 is an exploded perspective view of the integral pneumatic manifold of the present invention; 1〇5® is a perspective® of a valve or a clamp tube, indicating that there are several active mechanical components on the manifold; And Figures 6a and 6b are perspective views of a manifold that can be used in the present invention.
【實施方式:J 15 如弟1圖、弟2圖、弟3圖所示,可使用在本發明之卡 匣10通常包含閥板12、本體η及外蓋16。該閥板12、 本體14及外蓋16可均由適合的、且較具硬度的熱塑性塑 膠構成。閥板12包含數個開口 18及一藉由數個彈性體 24構成將流體密封在内之流體通道之抽唧渠道2〇。當該 20卡匣女裝在一外科手術控制台1〇〇之卡匣安裳部 110 Β守,數個接頭26成為該卡匣10與該外科手術控制 台100之間之接點,以使該卡匣10具有不同之沖洗及 (氣動)抽吸之功能。 如第4圖所示,集合管組合體2〇〇包含安裝在常見之 7 200803819 主集合管210上之數個次組合體或集合管。例如,該集合 管組合體200可能包含抽吸集合管220及/或注入/沖洗集 合管230及/或閥或鉗集合管240。如第5圖所示,每一 集合管210、220、230、及240 (第5圖以集合管240為 5例)均為各自成套之集合管,並可能包含足以實施該集合管 主要功能之必要之閥、調節器、感應器、或其他嵌入式之 機械、電子或機電裝置,例如空氣鋼瓶245。透過該主集 合管210,該集合管220及230與該卡匣1〇相連通, 而该鉗集合管240則控制該卡匣1〇與病患之間之訊息 1〇傳遞。該主集合管210可安裝在該外科手術控制台100 之卡匣安裝部110上,因此使該卡匣1〇與該主集合管 210相接合。主集合管210可能另外包含抽唧器及/或流 體液面及/或流量感應器(圖皆未示)。 上述結構使得每一次組合體之主要機能分別由特定之 15集合官負責,因此使得裝配、故障排除、及維修更加方便 快速。此外,此種結構可減少大部分在習知技藝中使用以 連接次組合體中不同元件之管線及管線接頭,並可簡化整 個組合體之總體積。 如第6a圖所示,該主集合管21〇包含用以儲存加壓空 2〇氣,可分別產生正壓及逆壓之氣動儲存器310及312。如 第6b圖麻,轉合管·包讀存由—減_ (圖未 示)產生之加壓空氣之氣動儲存器314及316。再如第处 圖所示,該鉗集合管240包含數個用以引導在該甜集合管 240内且該足以實施該集合管主要功能之必要之閥、調節 8 200803819 器、感應器或其他嵌入式之機械、電子或機電裝置,例如 • 空氣鋼瓶245等之間之加壓空氣之空氣通道32〇。該儲存 v 器310、312、314及316僅為說明之範例,任何熟知此 技藝之人將會發現類似之儲存器可能包含在任一或所有之 5集合管210、22〇、230及24〇之内。該儲存器310、312、 - 314及316係被整體地排列在該集合管21〇、22〇、23〇及 240之内非為此用途則不會被使用到之個別的集合管内。 此種構造可在萬一碰到動力損失時,以一體積較輕巧且可 ® 靠之方式,提供更多之加壓空氣存量。 1〇 卩上所述者,僅為說明及解釋之用。對熟知該相關技 藝之人來說,很明顯的此所述之發明内容尚有在不背離其 範圍及精神下而加以修飾之空間。[Embodiment: J 15 As shown in Fig. 1, Fig. 2, Fig. 2, and Fig. 3, the cartridge 10 which can be used in the present invention generally includes a valve plate 12, a body η, and an outer cover 16. The valve plate 12, body 14 and outer cover 16 can each be constructed of a suitable and relatively rigid thermoplastic. The valve plate 12 includes a plurality of openings 18 and a pumping channel 2 constituting a fluid passageway for sealing the fluid by a plurality of elastomers 24. When the 20-cart wearer is held in a surgical console, a plurality of joints 26 become the joint between the cassette 10 and the surgical console 100, so that The cassette 10 has different flushing and (pneumatic) suction functions. As shown in Fig. 4, the manifold assembly 2 includes a plurality of sub-assemblies or manifolds mounted on the common 7 200803819 main manifold 210. For example, the manifold assembly 200 may include a suction manifold 220 and/or an injection/flush manifold 230 and/or a valve or clamp manifold 240. As shown in Fig. 5, each manifold 210, 220, 230, and 240 (figure 5 is a collection tube 240 of 5) is a collection of separate sets and may contain sufficient functions to implement the manifold. Necessary valves, regulators, sensors, or other embedded mechanical, electrical, or electromechanical devices such as air cylinders 245. Through the main manifold 210, the manifolds 220 and 230 are in communication with the cassette, and the clamp tube 240 controls the transmission of the message between the cassette and the patient. The main manifold 210 can be mounted on the cassette mounting portion 110 of the surgical console 100, thereby engaging the cassette 1 with the main manifold 210. The primary manifold 210 may additionally include a pump and/or a fluid level and/or flow sensor (not shown). The above structure makes the main functions of each assembly separately responsible for the specific assembly, thus making assembly, troubleshooting, and maintenance more convenient and quick. Moreover, such a structure can reduce most of the tubing and line joints used in the prior art to join different components of the sub-assembly and can simplify the overall volume of the entire assembly. As shown in Fig. 6a, the main manifold 21A includes pneumatic reservoirs 310 and 312 for storing pressurized air and generating positive pressure and back pressure, respectively. For example, in Figure 6b, the transfer tube contains the pneumatic accumulators 314 and 316 of pressurized air generated by the subtraction _ (not shown). As further shown in the figures, the clamp manifold 240 includes a plurality of valves, adjustments 8, 200803819, sensors or other embeds that are used to guide the sweet manifold 240 and that are sufficient to perform the primary function of the manifold. Mechanical, electrical or electromechanical devices, such as air passages 32 of pressurized air between air cylinders 245 and the like. The storage vulators 310, 312, 314, and 316 are merely illustrative examples, and anyone skilled in the art will recognize that similar storage devices may be included in any or all of the 5 manifolds 210, 22, 230, and 24 Inside. The reservoirs 310, 312, - 314 and 316 are integrally arranged within the manifolds 21, 22, 23 and 240 and are not used in the individual manifolds for this purpose. This configuration provides more pressurized air inventory in a lighter and more reliable way in the event of a power loss. 1〇 The above description is for illustrative and explanation purposes only. It will be apparent to those skilled in the art that the present invention may be practiced without departing from the scope and spirit of the invention.
【圖式簡單明;J 第1圖為-可使用本發明之整體氣動集合管之外科手 15 術控制台之前透視圖; _ 第2圖為-可使用在本發明之卡E之前透視圖; 第3圖為-可使用在本發明之卡匠之後透視圖; 第4圖為本發明之雌職動集好之分解透視圖; 第5圖為-閥或钳集合管之透視圖,說明該集合管上有 20 數個主動機械元件;及 第6a圖及第6b圖為可使用在本發明之集合管之透視 圖。 9 200803819 【主要元件符號說明】 10 卡匣 230 注入/沖洗集合管 12 閥板 240 钳集合管 14 本體 245 空氣鋼瓶 16 外蓋 310 氣動儲存器 18 開口 312 氣動儲存器 20 抽唧渠道 314 氣動儲存器 24 彈性體 316 氣動儲存器 26 接頭 320 空氣通道 200 集合管組合體 210 主集合管 220 抽吸集合管 10[The drawings are simple and clear; J Figure 1 is a perspective view of the front panel of the overall pneumatic manifold of the present invention. _ Figure 2 - a perspective view before use of the card E of the present invention; Figure 3 is a perspective view of a card maker that can be used in the present invention; Figure 4 is an exploded perspective view of the female player of the present invention; Figure 5 is a perspective view of the valve or clamp tube, illustrating There are 20 active mechanical components on the manifold; and Figures 6a and 6b are perspective views of the manifolds that can be used in the present invention. 9 200803819 [Description of main components] 10 cassette 230 injection/rinsing manifold 12 valve plate 240 clamp tube 14 body 245 air cylinder 16 outer cover 310 pneumatic reservoir 18 opening 312 pneumatic reservoir 20 pumping channel 314 pneumatic reservoir 24 Elastomer 316 Pneumatic reservoir 26 Joint 320 Air channel 200 Collector assembly 210 Main manifold 220 Suction manifold 10
Claims (1)
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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US11/437,301 US20070282262A1 (en) | 2006-05-19 | 2006-05-19 | Surgical system having integral pneumatic manifolds |
US11/455,490 US9180232B2 (en) | 2006-05-19 | 2006-06-19 | Surgical system having manifolds with integral pneumatic accumulators |
Publications (2)
Publication Number | Publication Date |
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TW200803819A true TW200803819A (en) | 2008-01-16 |
TWI345967B TWI345967B (en) | 2011-08-01 |
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ID=38357951
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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TW096117880A TWI345967B (en) | 2006-05-19 | 2007-05-18 | Surgical system having manifolds with integral pneumatic accumlators |
Country Status (14)
Country | Link |
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US (1) | US9180232B2 (en) |
EP (1) | EP1857128B1 (en) |
JP (1) | JP4755138B2 (en) |
KR (1) | KR100913270B1 (en) |
AR (1) | AR061062A1 (en) |
AT (1) | ATE447421T1 (en) |
AU (1) | AU2007202258B2 (en) |
BR (1) | BRPI0704637B8 (en) |
CA (1) | CA2589385C (en) |
DE (1) | DE602007003044D1 (en) |
ES (1) | ES2333677T3 (en) |
IL (1) | IL183322A (en) |
MX (1) | MX2007005978A (en) |
TW (1) | TWI345967B (en) |
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US8679241B2 (en) * | 2006-10-30 | 2014-03-25 | Novartis Ag | Gas pressure monitor for pneumatic surgical machine |
US10959881B2 (en) | 2006-11-09 | 2021-03-30 | Johnson & Johnson Surgical Vision, Inc. | Fluidics cassette for ocular surgical system |
US8414534B2 (en) | 2006-11-09 | 2013-04-09 | Abbott Medical Optics Inc. | Holding tank devices, systems, and methods for surgical fluidics cassette |
US8491528B2 (en) | 2006-11-09 | 2013-07-23 | Abbott Medical Optics Inc. | Critical alignment of fluidics cassettes |
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KR100913270B1 (en) | 2009-08-21 |
BRPI0704637B1 (en) | 2019-04-24 |
KR20070112062A (en) | 2007-11-22 |
MX2007005978A (en) | 2009-01-09 |
EP1857128B1 (en) | 2009-11-04 |
TWI345967B (en) | 2011-08-01 |
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